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editorial
. 2016 Apr 4;68(5):592–595. doi: 10.1016/j.ihj.2016.03.018

Table 1.

Long-term results after balloon aortic valvuloplasty.

Authors/ref. Number of subjects Age at valvuloplasty (mean ± SD) Duration of follow-up (mean ± SD) Country Long-term results
Hawkins et al.17 60 7.3 ± 6 years 1–110 months USA 38% required surgery at 44 ± 37 months after BAV (AI in 13 and AS in 10).
Actuarial freedom from surgical intervention was 70% ± 6% at 5 years and 51% ± 12% at 9 years.
Kuhn et al.18 22 61 ± 23 months. USA 45% required re-intervention after BAV (AI in 3 and AS in 7).
Freedom from re-intervention was 75% at 100 months.
Galal et al.10 26 6 weeks to 20 years 3–9 years (median 6 years) Saudi Arabia and USA 23% had restenosis and underwent surgical (4 patients) or repeat BAV (2 patients).
Actuarial intervention-free rates at 5 and 9 years were 76% and 76% respectively.
Demkow et al.19 55 3.5–23 years (11.7 ± 4.5) 62 ± 30 months Poland 33.3% re-intervention 51 ± 24 months after BAV (AI in 6 and AS in 5).
Actuarial freedom from re-intervention at 6 and 8 years was 61% and 56% respectively.
Jindal et al.20 74 1–20 years 5.5 ± 2.9 years India 14% had re-intervention.
Actuarial intervention-free rates at 5, 7 and 12 years were 92.9%, 84.4% and 60%, respectively.
Reich et al.21 269 0–23 years (median 8 months) Median 5.3 years Czech Republic 20.1% needed surgery. Valvuloplasty failure occurred in 41.6%.
Probability of surgery-free survival was 50% at 14.4 years after BAV
Fratz et al.22 120 5.8 ± 5.9 yearsa Up to 17.5 years Germany 12% had repeat BAV for recurrent AS and 23% had surgery for AI.
Freedom from aortic valve surgery at 10 years was 59%.
Brown et al.23 509 Median = 2.4 years (1 day to 40.5 years) Median 9.3 years USA 23% had repeat BAV, 13% had aortic valve repair and 23% had aortic valve replacement.
Freedom from aortic valve replacement was 90% at 5 years, 79% at 10 years, and 53% at 20 years.
Maskatia et al.24 272 1 day to 30.5 years 5.8 ± 6.7 years USA 15% had repeat valvuloplasty (balloon or surgical); 15% had aortic valve replacement; 9% had heart transplantation or death.
Rossi et al.25 31 2–92 days Mean 81 months Brazil 24% patients required surgery during follow-up.
Survival free from aortic valve surgery was 66% at 63 months and 50% at 80 months.
Soulatges et al.26 93 Mean 2.4 years (1 day to 18 years) 11.4 ± 7 years Belgium Freedom from surgery at 5, 10, and 20 years was 82%, 72%, and 66%, respectively.

AI, aortic insufficiency; AS, aortic stenosis; BAV, balloon aortic valvuloplasty; SD, standard deviation.

a

Babies <1 month were excluded from the table.